| NPI | 1861799645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0011846) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2018-10-26 |